institution
Dca Of So Ga Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Valdosta, Georgia
NPI 1790748101

Dca Of So Ga Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jonesboro, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dca Of So Ga Llc practices in Valdosta, GA. The NPI Number for Dca Of So Ga Llc is 1790748101 and holds a License No. (Georgia).

The current practice location address for Dca Of So Ga Llc is 3564 N Crossing Cir Ste A, Valdosta, GA and can be reached out via phone at 229-249-3222 and via fax at 229-249-0775. You can also correspond with Dca Of So Ga Llc through the mailing address at PO BOX 19119, JONESBORO, AR - 72403-6601 (mailing address contact number: 870-931-5400).

Location: 3564 N Crossing Cir Ste A, Valdosta, GA, 72403-6601
institution
Provider Profile Details
NPI Number
1790748101
Provider Name
Dca Of So Ga Llc
Credential
Provider Entity Type
Organization
Address
3564 N Crossing Cir Ste A, Valdosta, GA, 72403-6601
Phone Number
229-249-3222
Fax Number
229-249-0775
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000895309C 05 GA
institution
Provider Business Practice Location Address Details
Address
3564 N Crossing Cir Ste A
City
State
Zip
31602-6413
Phone Number
229-249-3222
Fax Number
229-249-0775
person
Provider Business Mailing Address Details
Address
3564 N Crossing Cir Ste A
City
State
Zip
31602-6413
Phone Number
229-249-3222
Fax Number
229-249-0775
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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